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Form 640S 2017
Completion Certification—Site Inspection
New Homes Program—Single Familyru
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To be completed by Verifier
#of
. . Oregon
CLEAResult is a Program Management Contractor for Energy Trust of Oregon,Inc.
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Incentive Payee Company Name :
William Lyon Homes • "'
Builder or Company: William Lyon Homes Its this payment redirected?: I o
Venter Pa ee Cam Redirect to Name:
y pony Name: Performance Insulation and Energy (Redirect Payee Cam'
Affordable Housing No
Solar Ready Builder Incentive: No Solar Read
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Development River Terrace 1 TH Lot •" g -%
Address: '�•" /xr `�: 'a fn= ., .,. - ,.,h d.,�x..��l'�u ,Abs ID: IREM/Rate®ID:
Street Line 2 Multi-Family Yes City, TIGARD
Total conditioned area(sq.ft.) I 1,279 House Volume State: OR Zip: 97223
I1 13,971 Housing Type: (Townhouse end
Number of Stories: 13 Number of Bedrooms: 2
Foundation Type: Full Basement
Electric Provider: !Portland General Electric
Gas Provider. 'NW Natural Gas
Solar installed Solar Installer Name/Company:
Blue
tar BOB aired
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Slab Perimeter Insulatmn R- 15.0 Slab Under Insulation R-
InsuWtion Framed Floor R- 30.0 Secondary Framed Floor R- 59.0
Above Grade Wall Insulation R- 23.0 Below Grade Wall Insulation R-
Flat Ceiling Insulation R- 49.0 Vaulted Ceiling Insulation R-
Windows 1Mndows U- 0.3 SHGC:I0.3 Total window area: 1152
Coding Air Conditioning SEER: 0 Model#:
Primary Heating System Details AFUE: 95 Brand Rheem
Type: 'Gas Furnace HSPF: Model* R95PA0401317MSA
Primary Heat Heating Fuel: Gas SEER:
Source Comment COP:
Location: Conditioned A Outdoor Unit(for heat pumps)
ECM: No Model#:
AHRI Certificate:6464998 #of Systems 11
Gallons: I50 Brand: BradfordWhite
Water Heater Type 'Storage EF: 1.95 Model#: IRE350T6
Water Heating Fuel Electric Location:(Conditioned A AHRI Certificate:8105439
Ducts and Duct Location 'Conditioned %ducts inside:
Testing ,..,• -;,�',Dud Leakage(CFM) SOPa:
Infiltration Air Changes per Hour(ACH) 50Pa: 14.77
Ventilation Ventilation Type
HRV/ERV Model:
Supply Side-Air Cycler Airflow measured or why untestable? (Roof Termination
Refrigerator kWhyr Model: !4,
ENERGY STAR Diswasher 'kWh/yr 268 Model: FGID2486•'A
Percent High Efficacy Interior Lighting(%) 100% Thermostat
Showerhead 1.5 GPH I Showerwand 1.5 GPH I Showerhead 1.6 GPH I IShowerhead 1.75 GPH I